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56-- 72^ <br />t oKO a>k <br />T (£<3 P-A^i=^" <br />Item / Location TemperatureItem/Location <br />Food Safety Certification <br />EHD 16-24 (2^ pg) 4/3/13 <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.org/ehd <br />Name: <br />Exp. Date: <br />deceived By / Title: <br />EH Specialist: <br />[Time in: <br />ihlorine: <br />luat. Amm.: <br />°F <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: ->p <br />Warewashing Sink: op <br />9OC? C^nXT <br />■ Temperature <br />phone: j ^7^ <br />Time Out: <br />Food Program Official Inspection Report <br />AVt City; <^/ zip Code: <br />Telephone: <br />inspection <br />ction on or After: 1 <br />'A/& fL^- <br />yj r J G <br />Page/ of.y <br />FOOD PROGRAM 0IR CONTINUATION <br />Warewashing <br />ppm |Hea‘: <br />~ ppm PtliaF: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />S z5~ - ico-t <br />t_____________fi o, (VOX’S <br />R F7SX Vi BiVK <br />Jr) -13^4 K-FO <br />fcMtoVr <br />r M 1 J, <br />g o QuEssfe-__________H-2X7 4 <br />\ - ^VtSQF" >40 O I <br />( nAD-r -Afey^Xj- /l/S lolt'^ L^J/ ______________ <br />Ch'Fs T- C/ /- ‘7 7 7=^ ~ O-fj-T /UtLj'C <br />SAN t>N /S <br />-■ - - . ■ ; ■ I <T>H;egr- l-« <br />Aferr a ______ <br />— Pf20Vlt>g loo - j M-fj lvrTf)7M W I R /rJ ■ <br />v 7 Ffa>v <£>^ ao <b mJ) som <br />_ AjO‘ 6V 7^-^ — <br />S) BExsJr- fA-nruG NJOJ— <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: j ^"---Program Record:^ ' <br />SB180 Posted Yes No Permit Posted Yes fio Re-Inspection on or After: